Trinidad, Jan Michael Bernal

Trinidad, Jan Michael Bernal is an individual health care provider with primary practice located at 800 Prudential Dr Tower B, 11Th Floor, Jacksonville FL 32207-8202. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Trinidad, Jan Michael Bernal can be contacted via phone (904) 388-6518.

Contact Information

Primary practice address
800 Prudential Dr Tower B, 11Th Floor Jacksonville FL 32207-8202
Phone: (904) 388-6518
Fax: (904) 384-1005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X RN9285575 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9285575 Florida

Profile Details

NPI number 1225433758
LBN Legal business name Trinidad, Jan Michael Bernal
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2014
Last updated Mar 23rd, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225433758 NPPES
Georgia MEDICAID 003156756A
Georgia MEDICAID 014218500

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